BLACK RIVER HEALTHCARE, INC.

KINGSTREE, SC
NPI1497798599
Other NameBRH - KINGSTREE
Entity TypeOrganization
Authorized ContactBARBARA BROOKS
Chief Executive Officer
803-433-1216
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies208000000X Pediatrics
207R00000X Internal Medicine
363L00000X Nurse Practitioner
367A00000X Advanced Practice Midwife
207V00000X Obstetrics & Gynecology
261QR1300X Clinic/Center, Rural Health
Enumeration Date2006-06-14
Last Update Date2008-04-08
Business Address
BLACK RIVER HEALTHCARE, INC.
520 THURGOOD MARSHALL BLVD. SUITE B
KINGSTREE, SC 29556
Phone number: 843-355-5628
Mailing Address
BLACK RIVER HEALTHCARE, INC.
12 W SOUTH ST
MANNING, SC 29102-2925
Phone number: 803-433-1216